| NPI | 1992983878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGHU SUDARSHAN ATHRE President 281-557-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX M4701) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX M4701) |
| 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: TX M4701) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: TX M4701) | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: GA 058678) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-10-10 |